Colic-Sanchez

Question 1

Buscopan causes:

Buscopan contraindicated if:

Answer 1

Causes tachycardia

Contraindicated if HR > 80

Question 2

Plan for uncomplicated mild non-strangulating LI colic

Answer 2

1. NSAIDS: Flunixin 1.1 mg/kg IV
2. Enteral fluid/laxative tx: 4-6 L NG tube +/- min oil
3. Xylazine: 150 mg IV, Buscopan 100 mg IV: to facilitate rectal and passage NG tube
4. No feed (hay or grain)

Question 3

Normal Blood gas pH:

Normal Blood gas Lactate:

Answer 3

?????

Question 4

Complications of a LI strangulating lesion (4)

Answer 4

1. Laminitis
2. Endotoxemia
3. Ischemia/reperfusion injury
4. Post-operative ileus - if unhealthy colon left in

Question 5

Additional therapeutic options LI strangulating
Endotoxemia
Iscchemia/reperfusion injury

Answer 5

Endotoxemia:

• Pentoxyfylline
• Polymixin B
• Flunixin

Ischemia/reperfusion injury

• Withhold NSAIDS???
• Plasma, hetastarch
• Bio-sponge during surgery?

Question 6

Post-operative ileus tx

Answer 6

lidocaine

other prokietics

Question 7

FLASH ultrasound

Answer 7

Left:
-ventral abdomen
-gastric window
-reno-splenic window
-left middle third
Right
-duodenal window
-right middle third
cranial ventral thorax
*add inguinal exam to list

Question 8

Vessel next to stomach on U/S

Answer 8

gastrosplenic vein

Question 9

Tubes to use for abdominocentesis

Answer 9

Green top first - lactate and protein

Red top?!?!

Question 10

Abdominocentesis
WBC
Protein

Answer 10

Normal WBC: 5,000-10,000

Normal protein < 2 g/dL

Question 11

Ileal impaction prognosis and advice

Answer 11

90-95% resolve w/o sx

Don’t sit on them > 24 hours